SICK SINUS SYNDROME INDUCED BY ALCOHOL

P.I. Altieri, H.L. Banchs, N. Escobales, M. Crespo

Department of Medicine and Physiology, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico

Abstract

Introduction: Find the effect of alcohol (.1mg/kg) I.V. on the sinus and atrioventricular nodes in mongrel dogs.
Methods: The sinus node function was evaluated by the (SART) and the (AVN) by the highest atrial pacing rate at which Wenckebach (W) periodicity developed. 3 groups (G) were evaluated.
Results: The alcohol concentration of each (G) were as follows: GI (Low Concentration), .063±.012 mg%; GII (Medium Concentration), .118±.026 mg%; and GIII (High Concentration) .240±.052 mg%. GI showed a 16% lengthening in SART (P<.05); GII, a 22% lengthening <.01); and GIII, a 45% lengthening (P<.005). The average percent reduction in (W) rate was: no change in Group I; 32% in GII (P<.05); and 41% in GIII (P<.005). The reduction in the heart rate was of 5.7% in GI (N.S.), 9.8% in GII is <.01), and 14.4% in GIII (P<.05). Atrial fibrillation developed at the highest concentration of alcohol. Autonomic blockade prevented these changes.
Conclusions: Alcohol produced a sick sinus-like syndrome and its arrhythmias.